DR. STEPHANIE STUART M.D.
NPI 1205094141
Emergency Medicine in Sonora, CA

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
1000 GREENLEY RD, DEPARTMENT OF EMERGENCY MEDICINE, SONORA, CA 95370(209) 532-5000 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephanie Stuart M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE STUART M.D. (NPI 1205094141) is an individual emergency medicine provider in Sonora, California, licensed in California (A115383) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2007).

NPPES Registry Identity

NPI1205094141
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. STEPHANIE STUARTCredential: M.D.
Location Address1000 GREENLEY RD, DEPARTMENT OF EMERGENCY MEDICINESonora, CA 95370-5200
Mailing AddressPo Box 4685, Sierra Emergency Medical GroupSonora, CA 95370-1685
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2007
Enumeration DateMay 28, 2008
Last NPPES UpdateAugust 11, 2011
NPI 1205094141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · A115383 Licensed in TX · N1164
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1000 GREENLEY RD, Sonora, CA 95370

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Stuart M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769545888
PECOS Enrollment IDI20110823000961
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
206 services201 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
138 services123 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services53 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier33 claims33 services$20.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier39 claims39 services$116.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1000 GREENLEY RD
SONORA, CA 95370
Pharmacist
1000 GREENLEY RD
SONORA, CA 95370
Internal Medicine
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse
1000 GREENLEY RD
SONORA, CA 95370
Internal Medicine
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse
1000 GREENLEY RD
SONORA, CA 95370
General Acute Care Hospital
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse (Registered Nurse First Assistant)
1000 GREENLEY RD
SONORA, CA 95370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Stuart's NPI number?

The NPI number for Stephanie Stuart is 1205094141. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Stephanie Stuart located?

Stephanie Stuart practices at 1000 Greenley Rd Department Of Emergency Medicine, Sonora, CA 95370. The listed phone number is (209) 532-5000.

What is Stephanie Stuart's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stephanie Stuart enrolled in Medicare?

Yes. Stephanie Stuart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanie Stuart was last updated on August 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.